Self-reports of self-medication among undergraduate medical students of Alexandria Faculty of Medicine

  • Marwa Ramadan
  • Asmaa Eltaweel
  • Tamwe El Nakhal
  • Hanan Hemead
  • Abdelrahman Maraqa
  • Doha Abish
  • Rana Essam
  • Azza Baraka
Keywords: self-medications, OTC drugs, non prescription drugs, medical students, Egypt

Abstract

Background:

The aim of the present study was to assess the prevalence of self-medication among undergraduate medical students in Alexandria Faculty of Medicine and recognize the patterns and the attitude of students towards over the counter (OTC) medications intake.

Methods:

A cross-sectional study was conducted among undergraduate medical students attending Alexandria Faculty of Medicine from both national and international programs during the period of June 2013 until October 2013. A sample size of 360 was estimated using Epi Info 7 with the addition of 15% to account for losses giving a total sample size of 408 students.

Results:

Self-medication was reported by 208 (52.7%) students, with no significant difference between males and females. Highest percentage of self-medication was reported among those who have completed six years of academic study and the lowest was reported among those who have completed two years of academic study. There was a statistically significant association between educational stage (preclinical and clinical) practice of self-medication. Most common medications involved were analgesic and anti-inflammatory followed by decongestants, antimicrobials and antihistaminic drugs. 309 (78.8%) students believed that self-medication is acceptable.

Conclusion:

The present study demonstrated that self-medication is widely practiced among undergraduate medical students in Faculty of Medicine- Alexandria University.

References

WHO. Guidelines for the regulatory assessment of medicinal products for use in self-medication. 2000 [cited 2016; Available from: http://apps.who.int/iris/handle/10665/66154.
2. Coast J, Smith RD, Millar MR. Superbugs: should antimicrobial resistance be included as a cost in economic evaluation? Health economics. 1996; 5(3): 217-26.
3. Leape LL, Fromson JA. Problem doctors: is there a system-level solution? Ann Intern Med. 2006; 144(2): 107-15. eng
4. Rivers PA, Bae S. Substance abuse and dependence in physicians: detection and treatment. Health Manpow Manage. 1998; 24(4-5): 183-7. eng
5. Bohigian GM, Croughan JL, Sanders K. Substance abuse and dependence in physicians: an overview of the effects of alcohol and drug abuse. Mo Med. 1994; 91(5): 233-9. eng
6. James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students. Med Princ Pract. 2006; 15(4): 270-5. eng
7. Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Saf. 2001; 24(14): 1027-37. eng
8. Hem E, Stokke G, Tyssen R, Gronvold NT, Vaglum P, Ekeberg O. Self-prescribing among young Norwegian doctors: a nine-year follow-up study of a nationwide sample. BMC Med. 2005; 3: 16. eng
9. Kiyingi KS, Lauwo JA. Drugs in the home: danger and waste. World Health Forum. 1993; 14(4): 381-4. eng
10. Bretagne JF, Richard-Molard B, Honnorat C, Caekaert A, Barthelemy P. [Gastroesophageal reflux in the French general population: national survey of 8000 adults]. Presse Med. 2006; 35(1 Pt 1): 23-31. fre
Refrence

1. WHO. Guidelines for the regulatory assessment of medicinal products for use in self-medication. 2000 [cited 2016; Available from: http://apps.who.int/iris/handle/10665/66154.
2. Coast J, Smith RD, Millar MR. Superbugs: should antimicrobial resistance be included as a cost in economic evaluation? Health economics. 1996; 5(3): 217-26.
3. Leape LL, Fromson JA. Problem doctors: is there a system-level solution? Ann Intern Med. 2006; 144(2): 107-15. eng
4. Rivers PA, Bae S. Substance abuse and dependence in physicians: detection and treatment. Health Manpow Manage. 1998; 24(4-5): 183-7. eng
5. Bohigian GM, Croughan JL, Sanders K. Substance abuse and dependence in physicians: an overview of the effects of alcohol and drug abuse. Mo Med. 1994; 91(5): 233-9. eng
6. James H, Handu SS, Al Khaja KA, Otoom S, Sequeira RP. Evaluation of the knowledge, attitude and practice of self-medication among first-year medical students. Med Princ Pract. 2006; 15(4): 270-5. eng
7. Hughes CM, McElnay JC, Fleming GF. Benefits and risks of self medication. Drug Saf. 2001; 24(14): 1027-37. eng
8. Hem E, Stokke G, Tyssen R, Gronvold NT, Vaglum P, Ekeberg O. Self-prescribing among young Norwegian doctors: a nine-year follow-up study of a nationwide sample. BMC Med. 2005; 3: 16. eng
9. Kiyingi KS, Lauwo JA. Drugs in the home: danger and waste. World Health Forum. 1993; 14(4): 381-4. eng
10. Bretagne JF, Richard-Molard B, Honnorat C, Caekaert A, Barthelemy P. [Gastroesophageal reflux in the French general population: national survey of 8000 adults]. Presse Med. 2006; 35(1 Pt 1): 23-31. fre
11. Shankar PR, Partha P, Shenoy N. Self-medication and non-doctor prescription practices in Pokhara valley, Western Nepal: a questionnaire-based study. BMC Fam Pract. 2002; 3: 17. eng
12. Abahussain E, Matowe LK, Nicholls PJ. Self-reported medication use among adolescents in Kuwait. Med Princ Pract. 2005; 14(3): 161-4. eng
13. Zafar SN, Syed R, Waqar S, Irani FA, Saleem S. Prescription of medicines by medical students of Karachi, Pakistan: a cross-sectional study. BMC Public Health. 2008; 8: 162. eng
14. Byarugaba DK. A view on antimicrobial resistance in developing countries and responsible risk factors. Int J Antimicrob Agents. 2004; 24(2): 105-10. eng
15. Hart CA, Kariuki S. Antimicrobial resistance in developing countries. BMJ. 1998; 317(7159): 647-50. eng
16. Grigoryan L, Burgerhof JG, Degener JE, Deschepper R, Lundborg CS, Monnet DL, et al. Determinants of self-medication with antibiotics in Europe: the impact of beliefs, country wealth and the healthcare system. J Antimicrob Chemother. 2008; 61(5): 1172-9. eng
17. Chew‐Graham CA, Rogers A, Yassin N. ‘I wouldn't want it on my CV or their records': medical students' experiences of help‐seeking for mental health problems. Medical education. 2003; 37(10): 873-80.
18. Roberts LW, Warner TD, Lyketsos C, Frank E, Ganzini L, Carter D, et al. Perceptions of academic vulnerability associated with personal illness: a study of 1,027 students at nine medical schools. Comprehensive psychiatry. 2001; 42(1): 1-15.
19. James H, Handu SS, Khaja KA, Sequeira RP. Influence of medical training on self-medication by students. Int J Clin Pharmacol Ther. 2008; 46(1): 23-9.
20. Zafar SN, Syed R, Waqar S, Zubairi AJ, Vaqar T, Shaikh M, et al. Self-medication amongst university students of Karachi: prevalence, knowledge and attitudes. J Pak Med Assoc. 2008; 58(4): 214-7. eng
21. Helal RM, Abou-ElWafa HS. Self-Medication in University Students from the City of Mansoura, Egypt. J Environ Public Health. 2017; 2017: 9145193. eng
22. El Ezz NF, Ez-Elarab HS. Knowledge, attitude and practice of medical students towards self medication at Ain Shams University, Egypt. J Prev Med Hyg. 2011; 52(4): 196-200. eng
23. Banerjee I, Bhadury T. Self-medication practice among undergraduate medical students in a tertiary care medical college, West Bengal. J Postgrad Med. 2012; 58(2): 127-31. eng
24. Klemenc-Ketis Z, Hladnik Z, Kersnik J. A cross sectional study of sex differences in self-medication practices among university students in Slovenia. Coll Antropol. 2011; 35(2): 329-34. eng
25. Ibrahim NK, Alamoudi BM, Baamer WO, Al-Raddadi RM. Self-medication with analgesics among medical students and interns in King Abdulaziz University, Jeddah, Saudi Arabia. Pak J Med Sci. 2015; 31(1): 14-8. eng
26. Bennadi D. Self-medication: A current challenge. Journal of basic and clinical pharmacy. 2014; 5(1): 19.
27. Pandya RN JK, Vyas FI, Patel VJ. Prevalence, pattern and perceptions of self-medication in medical students. Int J Basic Clin Pharmacol 2013; 2(3).
Published
2018-05-10
How to Cite
Ramadan, M., Eltaweel, A., El Nakhal, T., Hemead, H., Maraqa, A., Abish, D., Essam, R., & Baraka, A. (2018). Self-reports of self-medication among undergraduate medical students of Alexandria Faculty of Medicine. International Journal of Medical Students. Retrieved from http://ijms.info/index.php/IJMS/article/view/41
Section
Original Article